ThayerBray Monthly Safety Inspection

• Project Name / Job Number

• Project Name / Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Participating in Inspection

• Trades Onsite / Activities in progress:

JOBSITE SAFETY AND ADMINISTRATION

• Is first aid kit on site and are first aid supplies adequate?

  Yes

  No

  N/A

• OSHA Standards / Company Safety Manual on Site?

  Yes

  No

  N/A

• OSHA, Federal & State Labor Law Posters posted?

  Yes

  No

  N/A

• Emergency telephone numbers posted? Medical Clinics posted?

  Yes

  No

  N/A

• OSHA 300 form being completed/posted?

  Yes

  No

  N/A

• Have all new hires and subcontractor employees completed the project orientation?

  Yes

  No

  N/A

• Weekly tool box meeting held? Attendance logs on file?

  Yes

  No

  N/A

• On site supervisor trained in first aid/CPR?

  Yes

  No

  N/A

• Safety Data Sheets (SDS) current for all contractors on site?

  Yes

  No

  N/A

• Emergency evacuation plan in place?

  Yes

  No

  N/A

PUBLIC PROTECTION AND TRAFFIC CONTROL

• Public protection adequate including necessary fencing and warning signs?

  Yes

  No

  N/A

• Public traffic impacted? Plan in place per local, county, and state requirements?

  Yes

  No

  N/A

• Trained flaggers used when directing traffic w/proper PPE, proper stop/slow sign and flagger ahead signs warning approaching traffic?

  Yes

  No

  N/A

PERSONAL PROTECTIVE & LIFE SAVING EQUIPMENT

• Employees in appropriate work attire? (pants, sleeves, work boots)

  Yes

  No

  N/A

• Head, eye, face, and hand protection worn?

  Yes

  No

  N/A

• Is face shield worn when appropriate (cutting metal/concrete with saw, using grinder, welding, etc.)?

  Yes

  No

  N/A

• Respiratory protection worn when needed/required? Complying with written program (fit test and medical eval)?

  Yes

  No

  N/A

HOUSEKEEPING & SANITATION

• Housekeeping: aisles clean, scrap removed, no protruding nails?

  Yes

  No

  N/A

• Adequate supply of water or water jugs, cups and trash containers?

  Yes

  No

  N/A

• Adequate toilet facilities and clean? Handwashing facilities available?

  Yes

  No

  N/A

• All containers properly labeled? Chemicals stored properly?

  Yes

  No

  N/A

• Materials properly stored or stacked? Secured and not too high?

  Yes

  No

  N/A

HAND AND POWER TOOLS

• Proper tool being used for job? Tools being used for intended purpose? Tools in serviceable condition or tagged out of use?

  Yes

  No

  N/A

• Extension cords in good condition (no missing ground pins, damaged outer insulation, tape repairs, etc.)?

  Yes

  No

  N/A

• Guards installed and being used properly (saws and grinders)?

  Yes

  No

  N/A

• Pneumatic tools/air hoses have proper safeguards, secured connections?<br>

  Yes

  No

  N/A

• Powder Actuated Tools:<br>Operators trained/spot check cards?<br>Tools and charges protected from unauthorized use?

  Yes

  No

  N/A

LADDERS

• Stepladders fully open when in use; no standing on top two steps?

  Yes

  No

  N/A

• Ladders properly secured at top and bottom to prevent slipping, sliding or falling? Do straight ladders extend 36" above top of landing?

  Yes

  No

  N/A

• Proper maintenance and storage of ladders?

  Yes

  No

  N/A

• Metal ladders not used around electrical hazards?

  Yes

  No

  N/A

FALL PROTECTION

• Fall protection equipment in serviceable condition and being utilized according to manufacturer instructions?

  Yes

  No

  N/A

• 100% fall tie off for all heights above 6 ft with proper anchor points?

  Yes

  No

  N/A

• Floor and window opening covered/guardrails and toe boards in place?

  Yes

  No

  N/A

• Roof edges adequately guarded? Leading edge protection & signage utilized where required? Horizontal lifeline systems engineered?

  Yes

  No

  N/A

FIRE PROTECTION & PREVENTION

• Fire extinguishers/stand pipe installed<br>clear access?<br>Fire extinguishers identified, charged and inspected monthly?

  Yes

  No

  N/A

• Flammable & combustible liquids in approved containers only?

  Yes

  No

  N/A

• "No smoking" posted and enforced where needed?

  Yes

  No

  N/A

• Fuel tanks protected and min 20 ft from bldgs w/ 20B fire exiting w/in 50 ft?

  Yes

  No

  N/A

ELECTRICAL

• Guarding of live parts by cabinets or other enclosures? Breaker boxes and switches properly labeled?

  Yes

  No

  N/A

• Warning signs posted (Danger high voltage)?

  Yes

  No

  N/A

• GFCI receptacle used including when using permanent power? Tested w/ inspection log?

  Yes

  No

  N/A

• Temporary lighting adequate and bulbs protected?

  Yes

  No

  N/A

• Lockout/Tag-out being used properly?

  Yes

  No

  N/A

HEAVY EQUIPMENT

• Trained operator, regular inspection and maintenance logs complete?

  Yes

  No

  N/A

• Lights, brakes, horn, back up alarm operative? Seat belts being used?

  Yes

  No

  N/A

• Haul roads well maintained and laid out properly?

  Yes

  No

  N/A

• Charged fire extinguisher installed on all equipment?

  Yes

  No

  N/A

• Buckets, forks, blades of equipment on ground when parked?

  Yes

  No

  N/A

EXCAVATION AND TRENCHING

• Competent person designated and daily inspections being conducted?

  Yes

  No

  N/A

• Underground utilities located/private service used if neccessary?

  Yes

  No

  N/A

• Is excavation properly sloped, shored or proper trench box used? Means if egress within 25 feet of work being performed?

  Yes

  No

  N/A

• Spoils, material and equipment a safe distance from excavation (back min. of 2 ft)?

  Yes

  No

  N/A

• Is excavation barricaded properly if left unattended or activity lasts more than 1 day?

  Yes

  No

  N/A

CONCRETE AND MASONRY CONSTRUCTION

• No dry cutting of masonry or concrete? Controls in place to limit silica exposure - water, vacuum tools, etc.?

  Yes

  No

  N/A

• Vertically protruding rebar capped?

  Yes

  No

  N/A

• Forms properly installed and braced?

  Yes

  No

  N/A

• Limited access zone around free-standing masonry walls? Masonry walls over 8ft adequately braced?

  Yes

  No

  N/A

• Masonry walls over 8ft adequately braced?

  Yes

  No

  N/A

STAIRWAYS

• Stairway/ladder/ramp used where 19 inch break in elev.?

  Yes

  No

  N/A

• Stairways clean and free of trip hazards w/ adequate lighting?

  Yes

  No

  N/A

• Handrails in stairways and guardrails at landing?

  Yes

  No

  N/A

• Metal pan stairs poured, filled with dunnage or barricaded from use?

  Yes

  No

  N/A

SCAFFOLDING

• Is scaffold equipment in good working order? Top rail, mid rail and toe boards? Planked properly? Plumb and level with proper cross bracing?

  Yes

  No

  N/A

• Guardrails on open sided and end more than 6 ft above the ground? Access ladder installed and used?

  Yes

  No

  N/A

• Erected on solid, level footing with mudsills?

  Yes

  No

  N/A

• Inspected by competent person daily before use? Inspection tag?

  Yes

  No

  N/A

• Maximum height = four (4) times minimum base dimension unless tied back to structure (every 20 ft vertically and 30 feet horizontally)?

  Yes

  No

  N/A

SCISSOR AND AERIAL LIFTS

• All personnel tied off in scissor and aerial lifts (man lift, basket lift, snorkel lift, JLG, etc.)?

  Yes

  No

  N/A

• Safety chains in place on scissors lifts and gates secured closed on aerial lifts?

  Yes

  No

  N/A

• Operator certification/training verified?

  Yes

  No

  N/A

CRANES

• Crane set-up properly? Outriggers extended, cribbing adequate, swing radius barricaded, power lines 20' distance?

  Yes

  No

  N/A

• Certified personnel (operator, rigger, signalman)?

  Yes

  No

  N/A

• Annual certification, inspection and maintenance logs maintained/current and in crane?

  Yes

  No

  N/A

• Load charts posted in cab? Proper loading for capacity at lifting radius?

  Yes

  No

  N/A

• Slings and chains , hooks and eyes in good condition and tagged/marked?

  Yes

  No

  N/A

• Lift plan reviewed and load rigged per the approved lift plan?

  Yes

  No

  N/A

STEEL ERECTION

• Letter of commencement provided of steel erector?

  Yes

  No

  N/A

• Erection floor solidly planked or decked or safety net within 25 feet?

  Yes

  No

  N/A

• Safety railing / cable at perimeter? Cable guardrails has no more than 3 inches deflection and flagged every 6 ft.

  Yes

  No

  N/A

• Floor and other opening covered and barricaded?

  Yes

  No

  N/A

• Ladders, stairs, or other access provided?

  Yes

  No

  N/A

• Other trades protected from overhead hazards or schedule arrangements made?

  Yes

  No

  N/A

• Tag lines used?

  Yes

  No

  N/A

WELDING AND CUTTING/OTHER HOT WORK

• Goggles, gloves, proper clothing worn? Screens and shields used where necessary?

  Yes

  No

  N/A

• Welding leads and gases hoses protected and in good condition? Electrical equipment grounded?

  Yes

  No

  N/A

• Gas cylinders secured and upright. Fuel cylinders at least 20 ft from oxygen? Cylinder caps in place when stored?

  Yes

  No

  N/A

• Fire extinguishers or proper type nearby? Inspection of fire hazards? Fire watch used where needed/required?

  Yes

  No

  N/A

CONFINED SPACES

• Have potential confined space been identified? Atmosphere tested? Permit required? Complete?

  Yes

  No

  N/A

• Confined space plan in place? Supervisors and Workers properly trained? Proper equipment and procedures in place and inspected regularly by competent person?

  Yes

  No

  N/A

COMMENTS & ADDITIONAL ITEMS

• Item #1

• Attachment #1

  Media

• Item #2

• Attachment #1

  Media

• Item #3

• Attachment #1

  Media

• Signatures

• PROJECT MANGER

  Sign

• SUPERINTENDENT

  Sign